Mary Kathleen Kush, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD017472E Issued in PA

Practice address

25 State Ave
Suite a
Carlisle, PA 17013-4420

Phone

(717) 243-4257

Fax

(717) 243-4268

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2020 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Truenorth Wellness Services

  • Community/Behavioral Health Agency
  • Hanover, PA
  • NPI 1447443049
  NPD (past)
• Truenorth Wellness Services

  • Community/Behavioral Health Agency
  • Hanover, PA
  • NPI 1912013509
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1700978392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STATE AVE",
            "address_2": "SUITE A",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134420",
            "telephone_number": "717-243-4257",
            "fax_number": "717-243-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 STATE AVE",
            "address_2": "SUITE A",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134420",
            "telephone_number": "717-243-4257",
            "fax_number": "717-243-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSH",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD017472E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Kroon, CRNP
• Kristine R Kuhn, PA
• Scott Henry Kuhn
• Judd Kulas, MS,NCC, LPC
• Kenda Lynn Kulp, PTA
• Tameka Pheon Lafayette, MD
• Lakeview Home Health Services, Inc
• Lakeview Respite Care LLC
• Lancaster Hma Physician Management
• Lancaster Hma Physician Management

• Psychiatry Physician in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.